Organization Active NPI

Raritan Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
National Provider Identifier
1578804605
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA01445800 Issued in NJ
Legal business name
RARITAN PHYSICAL THERAPY
Practice address
16 Campus Dr
Edison, NJ 08837-3911
Phone
(866) 871-6229
Fax
(888) 739-5830
NPI assigned
Mar 14, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Simon, PT
Title
Owner
Phone
(866) 871-6229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA01445800 NJ Primary

Addresses

Primary practice location

16 Campus Dr
Edison, NJ 08837-3911

Mailing address

16 Campus Dr
Edison, NJ 08837-3911
Phone (866) 871-6229

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1578804605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CAMPUS DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373911",
            "telephone_number": "866-871-6229",
            "fax_number": "888-739-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CAMPUS DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373911",
            "telephone_number": "866-871-6229",
            "fax_number": "888-739-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-871-6229",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01445800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.